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    Male Factor Considerations

    Momma Kath,

    I am writing because my DH and I
    have been TTC for just about a year
    and a half, and just found out some
    important information. My husband has been on
    high blood pressure medicine for 5 years--
    since he was 35. His type of medicine
    is a calcium channel blocker.
    Well, searching the Web for infertility info
    the other day, I stumbled upon an article
    that suggested that 95% of men on this
    type of med are rendered infertile!
    The good news is that the infertility
    is reversible after 3 months off the drug.

    We've been to 2 REs and one uroligist,
    and not one of these doctors knew of
    this med side effect .

    Of course we are hoping this has been our problem.
    My husband is calling his dr. tomorrow
    to get switched to another form
    of high blood pressure med.

    I wanted to write you to ask how
    best to get the word out to others.
    It is true that most men who take high blood pressure meds,
    do so after age 40, when many are finished creating
    their families. But I'm sure that there is a
    significant community of people out there
    who may be helped by this info.

    Check this good article on this problem.

    Thank you for listening, and for any suggestions you may have
    on getting the word out!!!

    CarolMc

    I just wanted to add my 2 cents
    to the "Husband on high blood pressure medication?"

    My dh is on the medications -
    in fact in February I had his hair analyzed
    to find out what vitamins and minerals he needed
    and that same month he went off one of them altogether.
    That's the month I conceived Arielle.
    I believe there is some truth to it -
    however we did conceive Arielle the same day
    he went off Cardura and started the mineral therapy!
    Funny it all happened when I ovulated and I wasn't
    expecting to conceive that month.
    Now he's only taking Zestril -
    and is working on loosing weight to go off that too!

    LoriR/LAR

    Here is some information compiled by Sunny.
    Do not go over the recommended amounts of vitamins,
    as this can have a negative impact on health.
    My husband takes a "male multi-vitamin"
    which has 50mcg of zinc and 200mcg of selenium.
    Additionally, he takes 1000mg of vitamin C, and 300IU of vitamin E.
    We have seen a slight improvement in motility, but no improvement in sperm count.

    Vitamin and Herb therapy

    This is a link to a
    male reproductive health center.
    I can't stress enough how important it is to have a bad SA re-checked by a clinic
    specializing in male infertility. If initial results are poor, retest in three months,
    BUT ask your doctor for a referral to a urologist that specializes in male infertility.
    I would caution the use of clomid for male infertility.
    If your husband's doctor recommends this, get a second opinion!!
    Also, make sure that he has his testosterone levels checked.
    While marginal improvements have been seen in men who use clomid,
    success is largely dependent on having a lower than normal testosterone level.
    Also, the use of clomid for men is rarely covered by insurance, so best to be sure
    that it will have a good chance of helping him before you use it. Finally, it's
    important to note that clomid will only help overall sperm count, not quality.

    This link deals with a
    variety of treatments
    that are available to for couples with male factor infertility.
    We commonly think that the only hope is in vitro fertilization.
    This is not necessarily the case!
    Intra uterine insemination may be enough to give the sperm a "boost"
    in the right direction. In some cases, a vericocele may be the cause
    of motility problems. This is something that is confirmed with an ultrasound,
    and can be treated with surgery. I'd like to point out that although my husband
    has a vericocele, we opted not to have the surgery. His vericocele was the result
    of a hernia surgery which caused a great deal of trauma to his testicles.

    He can not face another surgery!
    We opted for another method to achieve pregnancy:
    donor sperm
    This is a link to a Twin Cities sperm bank.
    Although this option is not for everyone,
    it's the route we have decided to take.
    It achieves our family goals in the time frame that we want,
    which was a big consideration for us.

    Remember:
    It takes 90 days for the process of spermatogenesis to take place.
    Therefore, if you start taking vitamins and herbs to improve sperm quality,
    wait three months before being retested.

    Lifestyle matters!!

    • Smoking can affect morphology.
    • Drinking can affect count,
    • excess caffeine can affect motility.
    • While wearing boxers and avoiding tight jeans can help motility and count,
      packing ice around the scrotum won't do anything but
      make your husband uncomfortable.
    • Avoid baths, hot tubs and saunas.
    • Stress and work environment can also influence sperm production.

    Finally, a bad sperm analysis does not end the hopes of pregnancy!
    There is always hope.
    Insemination, IVF, IVF/ICSI, and donor sperm are all options available to us today.

    I hope this helps answer questions!!
    Love,
    Sunny

    Posted By: CherylB
    Monday, 8 May 2000, at 6:47 p.m.
    My husband had surgery for a vericocele in December.
    It didn't help us, but we had a zero count, so the doc told
    us going in it may not make a difference.
    I DO recommend doing the surgery however, cause it just
    eliminates one more obstacle and in many cases
    it does make a difference. In fact, the DR we are seeing in
    NYC next year, Dr Marc Goldstein
    (one of the best in the country)
    has his patients have the surgery
    before he proceeds with anything else,
    if there is a chance it can help. ChristineM's
    DH is also having the surgery on May 19th,
    so you may want to post to her.
    Their situation is one with a low count,
    so more similar to yours.
    Best of luck whatever you decide,
    CherylB



    I wanted to start off by thanking you for this site.
    I have been brought to tears here may times over the past year
    and though I have never contributed, I feel like you are all part of my family.
    I wanted to share my story with you in the hopes of helping others.
    I am the mother of 2 and am expecting my third.
    Our first son was unplanned--but a wonderful surprise.
    After a year and a half I said to my husband,
    "I think I'm ovulating today, let's have another"
    and that's just what we did. Imagine my surprise when after trying for 9 months,
    including blood tests on me and OPK's we did not conceive.
    Let me say that after the birth of our 2nd child,
    my husband was diagnose with high blood pressure and was put on,
    among other medications, a calcium channel blocker.
    When we went for sperm analysis,
    the doctor asked for my husband's medical history.
    He mentioned that we might want to look into getting off the CCB if medically possible.
    My husband's doctor dismissed this. I went on-line and though there were not many,
    there were several articles about CCB's causing male infertility,
    even to the point that some doctors considered using them as male birth control.
    I printed the articles and my husband brought them to his doctor
    who finally put him on an ace inhibitor.
    I had been taking clomid for 2 cycles when I conceived almost three months
    to the day after my husband went off the medication.
    I am now 3 months pregnant.
    (The articles stated that when no other problems were present,
    50% of couples conceived within 3 months off of the medication).
    I just want to get the word out that Calcium Channel Blockers
    could definitely impact male fertility--
    I don't see this information on may fertility websites.
    Thank you for all you do--
    my thoughts and prayers are with you and all of the couples on this site.

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